‘Ensuring the comfort and dignity of older adults requires us to consider an “all-of-the-above” strategy.’
Beyond Home Care—What Now?
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Aging-in-Place Villages and the Promise of Artificial Intelligence
AI can provide many administrative functions to villages, making it easier for them to attract and retain members.
The Role of Area Agencies on Aging in Medicaid Waivers and Medicaid Managed Care
This model offers a proven, scalable approach for aligning healthcare with community supports for older adults and people with disabilities.
Person-Centered Supports for Older Adults: How Paid Family Caregiving Measures Up
Parsing findings from the National Core Indicators and Adult Consumer Survey regarding paid and unpaid caregiving.
Older Americans Act Revisions: Enhancing Community Supports for HCBS
Tools like the NCI-AD are proving invaluable for collecting meaningful data, monitoring service quality, and driving continuous improvement.
Ten Years of NCI-AD
Supporting quality and accountability in long-term services and supports for older adults and people with disabilities.
AddnAide: Lessons from the National Home-Care Workforce Shortage
How an Ohio Area Agency on Aging created an app that expands access to self-directed care.
Expanding Medicare’s Ability to Provide Home-Based Care
What would it take to make care at home possible and how might we implement it?
Medicaid at 60: Its Essential Role for Older Adults
Shining a light on Medicaid’s challenges, disparities in access, and recommended policy changes to strengthen the program.
Health and Home
The role of Medicaid and managed care in home- and community-based services and long-term supportive services.
InsideHealth and Home: The Role of Medicaid and Managed Care in HCBS and LTSSGenerations Journal
Generations Journal, vol. 49, no. 4 (Winter 2025-26)
Beyond Home Care—What Now?
“The true measure of any society can be found in how it treats its most vulnerable members.”—attributed to Mahatma Gandhi In introducing this issue of Generations Journal, I began with a note about Benjamin Rose and his desire to help older adults maintain their...
Aging-in-Place Villages and the Promise of Artificial Intelligence
Abstract Older adults, their families, their communities, and public health and social services agencies share the desire to enable individuals to age in place (Malani et al, 2024). Over the past 25 years, nonprofit virtual villages have emerged as important...
The Role of Area Agencies on Aging in Medicaid Waivers and Medicaid Managed Care
Abstract Ohio’s Area Agencies on Aging (AAAs) have become national leaders in integrating health and social care through Medicaid waivers and managed care. Their long-standing role in Ohio Medicaid programs like PASSPORT and MyCare Ohio demonstrates how...
Person-Centered Supports for Older Adults: How Paid Family Caregiving Measures Up
Abstract As the demand for home- and community-based services increases, many are turning to family caregivers to provide support. We look at how outcomes vary for older adults, with a focus on understanding the experiences of older adults who report they get the most...
Older Americans Act Revisions: Enhancing Community Supports for HCBS
Abstract Older Americans Act (OAA) requirements require states to monitor service quality across nutrition, caregiving, emergency preparedness, and service delivery. This article highlights how the National Core Indicators–Aging and Disabilities (NCI-AD) Adult...
Ten Years of NCI-AD
Abstract National Core Indicators–Aging and Disabilities (NCI-AD) is a national initiative that measures and strengthens long-term services and supports (LTSS) systems for older adults and people with disabilities. NCI-AD uses standardized, person-centered surveys to...
AddnAide: Lessons from the National Home-Care Workforce Shortage
Abstract Faced with long wait times to connect individuals with essential in-home care services, Council on Aging of Southwestern Ohio (COA), the Area Agency on Aging (AAA) serving five counties in southwest Ohio, decided to take a pioneering approach to connecting...
Expanding Medicare’s Ability to Provide Home-Based Care
Abstract As the U.S. population ages, the demand for care allowing older adults to remain at home is growing rapidly, exposing long-standing gaps. Acute medical care is universally available but long-term home- and community-based services (HCBS) are chronically...
Medicaid at 60: Its Essential Role for Older Adults
Abstract Medicaid has played a vital role in supporting the U.S.’s older population for more than 60 years. It funds essential health and long-term care for nearly 80 million people, including millions of older adults and caregivers. As the primary funder of home- and...
Health and Home
When my bones are stiff and aching,And my feet won’t climb the stair,I will only ask one favor:Don’t bring me no rocking chair. Excerpt from On Aging by Maya Angelou, 1978 The Benjamin Rose Institute, established in 1908, is one of the oldest charitable organizations...
Maybe Elephants Can Dance
Abstract The United States initially developed a long-term care system that prioritized nursing home care over in-home care, particularly for those supported by the Medicaid program. Legislation in 1981 attempted to change that strategy, but progress was slow. Today,...
Suggested citation for articles in this issue: [Last Name(s), First Name(s)]. “Article Title.” Generations Journal, vol. [#], no. [#] [season and year (ex. Fall 2024)]. [URL]
About Generations Journal
Generations Journal is the quarterly journal of the American Society on Aging. Each issue is devoted to bringing together the most useful and current knowledge about a specific topic in the field of aging, with emphasis on practice, research, and policy.